Spectrum of Upper GI Endoscopy in Pediatric Population at a Tertiary Care Centre in Pakistan


Although upper GI endoscopy is considered to be a gold standard in diagnosis of many pediatric gastrointestinal disorders, there is limited data about its utility from developing countries. We carried out this retrospective study at Aga khan University Hospital, Karachi, Pakistan from 2008-2012. During the study period, a total of 200 procedures were performed. Mean age of patients was 8.5 years. 66% of patients received general anesthesia for the procedure. Failure to thrive with suspected coeliac disease was the most common indication for the procedure, seen in 31% of patients. Gastritis was the most common abnormal endoscopic finding, seen in 14.5% of patients. Gastritis was the most common histopathological finding on biopsy, seen in 31% of the patients (n = 62). Findings were consistent with coeliac disease in 18% (n = 36), duodenitis, 10.5% (n = 21) and esophagitis, 4% (n = 8) of patients. No immediate post procedure complication was noted in our study.

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Khan, M. , Ahmed, S. , Ali, S. , Maheshwari, P. and Jamal, M. (2014) Spectrum of Upper GI Endoscopy in Pediatric Population at a Tertiary Care Centre in Pakistan. Open Journal of Pediatrics, 4, 180-184. doi: 10.4236/ojped.2014.43025.

Conflicts of Interest

The authors declare no conflicts of interest.


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